Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Former Entity Name:
Edencrest At The Legacy

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
80

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0372

Initial License Date:
05/01/2018

Current License Date:
04/30/2024

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
04/30/2026

Months Since Last Survey:
31

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2901 Cedar Street

City:
Norwalk

State:
Iowa

Zip:
50211

Phone:
(515) 250-2806

Fax:
(515) 348-9424

URL:

Administrator/License #:
Jessica Rand /

Administrator Email:
Jessica.Rand@edencrestliving.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: